Walter Chad Keasler III, OTR

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

115452 Issued in TX

Practice address

1722 Shea Center Dr
Apt 101
Highlands Ranch, CO 80129-3509

Phone

(817) 205-7978

NPI assigned

May 16, 2016

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463356800000",
    "number": "1972950319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 SHEA CENTER DR",
            "address_2": "APT 101",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801293509",
            "telephone_number": "817-205-7978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 SHEA CENTER DR",
            "address_2": "APT 101",
            "city": "HIGHLANDS RANCH",
            "state": "CO",
            "postal_code": "801293509",
            "telephone_number": "817-205-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEASLER",
        "first_name": "WALTER",
        "middle_name": "CHAD",
        "name_suffix": "III",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-16",
        "last_updated": "2016-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "CO",
            "license": "OT.0004486",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "TX",
            "license": "115452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean Kark, DO
• Tyler Karlin, D.D.S., M.S.
• Katy McGuire Limited
• Stanley Katz, RPH
• Jessica Campbell Kauk, D.O.
• Amy M Keller, PT
• Elise Marie Kelly, OTR/L
• Sarah R Kelly, P.T.
• Tim Kelly, PHARM D
• Mary Kay Kennedy, MA,LPC,CACIII

• Physical Rehabilitation Occupational Therapist in Highlands Ranch, CO
• Providers in Highlands Ranch, CO by specialty
• Physical Rehabilitation Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.